Abstract
Points out shortcomings of the formal system of care for blind and visually impaired elderly persons and examines the philosophical biases that lead to inadequate provision of services. Under the formal system such elderly persons are often isolated, deprived of dignity and individuality, and encouraged to adopt an attitude of dependency. Informal grassroots groups—family and friends of elderly persons, other nonprofessionals willing to help, and aged people themselves—can provide or help procure services that the formal system fails to offer or denies to needy persons. Specific guidelines are offered to influence federal and state agencies, private institutions, local agencies, and the home environment. The author suggests that the formal and informal systems can work together to enhance perceptions of the worth of blind and visually impaired elderly people and to improve the services they receive.
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